Chapter 86： : Is it the patient or saves money?

This is an attempt by Li Baoshan!

That is to do a special person, Qin Yue's work is scientific research.

If every doctor has to engage in scientific research and clinical practice, there is no skill at all.

He asked Qin Yue to leave the ward, and at the same time of the operation, he summarized the operation data and operation method to improve the scientific research ability of the emergency department. This is what Li Baoshan has always wanted to do.

The times are advancing, scientific research and clinical must be combined!

一次 This drastic move can be said to be a major reform in the emergency department of the Second Provincial Hospital!

And the biggest change in personnel transfer this time is Chen Cang, who turned into a backbone for emergency treatment.

Wang Yong's work is intuitive and straightforward. To put it plainly, it is Chen Cang and Wang Qian's previous work, which is to write medical records and manage patients ...

Cang Cang transformed into a superior doctor!

He has become Chen Cang's subordinate physician ...

With a bitter tears, Wang Yong sighed.

Even they are not as good as Chen Cang them. After all, they used to be okay. At least the senior doctors had at least high-level attendance, at least a good level of skills and good skills, and they ... wrote a medical record for Chen Cang, and to be honest, Wang Yong was really wronged. !!

He just doesn't help anymore and doesn't want to fall to this point.

Xi Wangyong is not only afraid of suffering and shame, but also fear of lack of hope.

多少 How much can Chen Cang be better than himself?

多少 How much can Chen Cang learn?

He knows that Chen Cang has a little ability and is stronger than himself, but this kind of strength is limited, and it won't exceed him too much.

多少 How much can you change yourself with Chen Cang?

I'm too limited!

But this is life, you have no ability but to be controlled.

If you want to stay in the Second Provincial Court, you must obey the arrangement.

Xun Wangyong has even shaken his mind to stay in the Second Provincial Court at this time. After all, following Chen Cang can't learn too much, and keeping it is just a waste of youth.

If it is possible to make a contract here, if this time is a temporary worker, Wang Yong decides to leave.

Hey……

Who can give up in two or three years?

In fact, Li Baoshan did not target anyone. This was a reasonable arrangement. He redistributed according to the strengths of different people. In fact, Chen Cang wanted to use it for surgery, but referring to Chen Bingsheng, he also felt young. People still see each other more and experience more before considering Wang Yong to follow Chen Cang.

As a temporary worker, Wang Wangyong was the most suitable for Chen Cang.

Qin Yue is also quite satisfied with her work!

After all, in the future, I only need to do surgery, statistical data, and write articles. The clinical pressure is much less and the scientific research pressure is increased.

But ... scientific research work, this is probably the easiest place for the entire emergency department to score.

Qin Yue is also very satisfied!

The only dissatisfaction is ... I have to fight Chen Cang myself!

The personnel transfer work must be completed within three days. To tell the truth, Wang Yong is the person with the most emotions and opinions in his heart.

Others basically have some improvements.

An Yanjun became the person in charge of the future, Chen Bingsheng became the person in charge for the emergency gastrointestinal surgery, Shi Na became the leader of the inpatient doctor, Wang Qian and Chen Cang had the prescription right, and Shi Na became a scientific researcher plus surgery staff member.

Uh ...

Uh ...

沧 Cang Cang was busy all of a sudden, he had to accept patients independently to treat patients, he had to undergo surgery, and he had to write a medical record.

Wang Yong is a little slack, after all, there is a big gap in my heart. The same group of people have become their superiors, and they are not happy to anyone, let alone these young guys who are not in their twenties.

Cang Cang has no time to comfort Wang Yong. The emergency department is not a kindergarten. You are crying and have emotions. I will give you a lollipop to comfort you.

On Wednesday afternoon, a patient came to the emergency department and gave this group of doctors who had just taken office a dismissal!

The weather in August was good in the afternoon. As soon as Chen Cang came out of the operating room, he heard a noise from outside.

I'm here again?

Cang Cang saw a small couple stumbled in across the glass, followed by a bald and fat man with more than one meter and six sweating.

The man was holding the woman. The woman was obviously vague, and her body was lying weakly in the man's arms. The two of them were sloppy and drunk.

When the nurse stood at Tian Xianglan, she quickly greeted the nurse to push the car and helped the woman up. At this time, Wang Yong also quickly came out and gave the rescue room together.

Cang Cang is no longer a small assistant now. In this case, the patient should be handled independently!

Cang Cang said to nurse Xiaolin: "Go to the monitor and measure blood pressure and heart rate."

After saying that, she put her hand on the woman's wrist, and suddenly a cold wave came, her pulse was weak, and her palm was cold.

At this time, the woman's eyes were closed and her face was pale. The whole person seemed very serious.

At this time, the man who helped the woman came in and took the arm of the fat man and shouted, "You can't go! We're like this after you eat at your house. You can't go, I'll call the police!"

The man is very thin and not tall. He looks honest and friendly, which makes people feel weak at first glance.

The fat man touched his sweat and said, "Where did I go, I went to the toilet, this is all in the hospital, let me go first!"

The little man was holding the fat man's arm, and his voice was loud: "No! No, I can't let you go!"

Chen Cang came out at this time and asked the man, "Who are the family members?"

The little man pulled over the fat man and came over: "I am!"

Chen Cang nodded, didn't think too much, and asked about the basic situation.

The thin man's pitiful eyes had tears in his eyes: "My wife didn't like this at first, and didn't faint, that is, after eating at his house yesterday, she started to vomit when she went back. It's a bit vague and unresponsive, the restaurant he opened! I didn't expect to faint today ... "

The emaciated man kept emphasizing the matter after eating at his house, and combined with all the performance, all the clues seemed to be moving towards the direction of food poisoning.

沧 Chen Cang frowned and thought about the reason. At this time Wang Yong also came over. After seeing the patient, he immediately stared wide and couldn't help winking Chen Cang.

沧 Cang Cang is busy thinking about the patient's condition at this time, where to look after Wang Yong.

In general, there are several aspects to consider when encountering a coma. The first is intracranial disease, the second is metabolic encephalopathy, and the third is toxic encephalopathy.

检查 Check it first!

The woman is not very old, about 20 or 30, and Chen Cang asks, "Is there anything she usually does?"

The man shook his head: "No! It was after his family had eaten and went home to sleep and it became like this!"

At this time, the monitoring data has come out, HR: 120 / min, BP: 96 / 55mmHg, SPO2: 99% (medium flow oxygen), RP: 32 times / minute.

The patient is still in a coma. Chen Cang keeps thinking about the reason. The heart rate is a little faster. Is there any hypertension?

Before Chen Cang had time to say, the man emphasized again: "My wife is usually fine, there is no illness, can eat and drink, that is, a meal in his restaurant, that's it!"

Chen Cang knew: "Xiao Lin, urgent blood glucose check, blood routine, liver and kidney function, blood glucose, serum electrical ions ... etc., yes, and lactic acid and blood gas analysis. Also, give the patient oxygen, Add a bottle of balancing fluid! "

After speaking, Chen Cang said to Wang Yong, "You help to prescribe the doctor's order and add a brain CT scan to rule out cerebrovascular diseases. I will check the body."

未 Before Chen Cang's words fell, Wang Yong squeezed his eyes and pulled Chen Cang's arm and went out.

"This man is wicked! I have seen it several times, and this couple is a recidivist who comes to touch porcelain and blackmail!" Wang Yong reminded.

"They visited once a few days ago ~ www.novelhall.com ~ Lao Chen showed it."

Cang Cang suddenly stopped!

There are no shortage of extortion patients in the emergency department. They are often encountered. It can be said that there are all kinds of people, regardless of gender, but the purpose is very simple!

Save money.

Chen Cang has seen a mother and daughter, mother pretending to be sick, and young pretending to be filial pie. The two are perfectly matched. They often go to the small clinic to infusion, and then the whole body twitches are unclear. No blood is drawn or treated. The daughter is in charge of negotiating with the doctor in the small clinic. Once the money is in hand, the mother ’s illness will heal and disappear. Maybe the next time you see it, the other person will nod and smile at you. This kind of person Chen Cang didn't want to mess with him, but he didn't cooperate. Generally speaking, he didn't want to provoke a fire. After all, he had seen a doctor who was ordered to go to the emergency department because he clicked, this time as a patient.

But ...

Cang Cang feels that this woman is really sick!

When thinking of this, Chen Cang urged: "Have a doctor's order and check it."

Ye Wangyong's eyes widened: "Brother, don't you understand what I mean? He came to save money, you ..."

Chen Cang stared at Wang Yong and said, "You are a doctor, not Holmes. What are the signs of the patient? I suspect it is a hypertonic non-ketotic hyperglycemic coma."

When Wang Yong heard it, he cut it off suddenly, and hummed dissatisfied, then turned away and muttered: The dog biting Lu Dongbin didn't like people.

Chen Cang sighed and shook his head. At this moment, suddenly he heard a noise.

Ps: I'm finally busy, and the update time will be restored in the future. At 00:00 and noon every day, there are too many veteran things during this time. The update time is unstable, which brings a lot of inconvenience to everyone.